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Bupa Hospital & Day Surgery Claim Form For hospitalisation and day case surgeries Excluding Bupa Safe Critical Illness Insurance Scheme OP/BCFHHH/0421Please complete in BLOCK letters and preferably.

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How to fill out the HK BCFH-HH online

The HK BCFH-HH form is essential for requesting reimbursement for hospitalisation and day case surgeries. This guide provides user-friendly, step-by-step instructions to help you navigate and complete the form correctly, ensuring a smooth filing process online.

Follow the steps to successfully complete the HK BCFH-HH form for your claims.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred editing tool. This will allow you to begin filling out the necessary information.
  2. Begin by entering the patient's membership number at the top of the form. This 16-digit number is mandatory and must be provided accurately.
  3. Indicate the name of the employer only if the insurance is under a group contract. If this does not apply, you can leave this field blank.
  4. Fill in the name of the subscriber or employee, including the surname followed by the given name, ensuring to leave a space between the words.
  5. If the patient is not the subscriber or employee, provide the patient's name in the same format as above.
  6. For claims under a specific cash scheme, complete the occupation field as required.
  7. Specify the date of hospitalisation or day case surgery in the designated format.
  8. Enter the mobile number where you can be reached.
  9. If hospitalisation was due to an illness, describe the symptoms that led to the hospitalisation in the provided field.
  10. Provide the past medical consultation history, including the doctor's name and address who recommended the hospitalisation.
  11. Fill in the date when the symptoms appeared, alongside the end date of the medical condition.
  12. If the hospitalisation was due to an accident, provide full details about the accident, including the date, time, and place.
  13. Specify any doctors who attended to the patient, including consultation dates and the type of treatment received.
  14. Answer the questions concerning whether the accident was reported to the police, and if so, provide the police report copy.
  15. Indicate if you have filed this claim with another Bupa contract or any other insurer or organisation and provide trade names and numbers where applicable.
  16. Complete the declaration and authorisation section by signing and dating the form.
  17. Review all provided information for completeness and accuracy.
  18. Once all fields are filled, save your changes. You can also download, print, or share the completed form as needed.

Complete your HK BCFH-HH claim form online today to ensure timely reimbursement.

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